Staff Education

At this point you will have previously viewed the Disaster Preparedness Video series, and should now be prepared to attest to knowledge of the material contained in the videos. If this is not the case please play the videos to ensure that you can truthfully attest to this knowledge.

Disaster Preparedness Video Attestation Form

Name:
Non-Physician Staff - By checking this box, I attest that I have viewed all videos on the website as they pertain to Disaster Preparedness and that I am responsible for the information contained in the videos and that my knowledge of the content of the videos may be challenged at anytime by a written test. All employees of the facility are mandated by Medicare to be fully knowledgeable about the facility Disaster Preparedness Plan.
Physician Staff - By checking this box, I attest that I have viewed all videos on the website as they pertain to Disaster Preparedness and that I am responsible for the information contained in the videos and that my knowledge of the content of the videos may be challenged at anytime by a written test. The results of any such tests will be maintained in my credentials file. All Medical Staff of the facility are mandated by Medicare to be fully knowledgeable about the facility Disaster Preparedness Plan.